NPI: 1831707546 · VEGA ALTA, PR 00692 · 261QC1500X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 4,073 | $12K |
| 2022 | 1,075 | $5K |
| 2023 | 3,044 | $3K |
| 2024 | 4,014 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1999 | 530 | 415 | $8K | |
| 0012A | 134 | 134 | $3K | |
| 0002A | 71 | 71 | $2K | |
| D1110 | 66 | 50 | $2K | |
| 99213 | 1,990 | 1,727 | $2K | |
| 90837 | 178 | 162 | $2K | |
| 0001A | 67 | 67 | $2K | |
| 0003A | 60 | 60 | $1K | |
| D0330 | 30 | 30 | $904.88 | |
| 0011A | 115 | 92 | $720.00 | |
| D0150 | 25 | 25 | $610.25 | |
| 99214 | 220 | 209 | $542.99 | |
| D0120 | 27 | 14 | $438.46 | |
| 97802 | 15 | 15 | $349.31 | |
| 99212 | 226 | 200 | $100.52 | |
| 90649 | 17 | 17 | $32.00 | |
| 90734 | 13 | 13 | $32.00 | |
| 4016F | 155 | 146 | $0.00 | |
| D1330 | 12 | 12 | $0.00 | |
| 2001F | 17 | 17 | $0.00 | |
| 3074F | 661 | 592 | $0.00 | |
| 1036F | 501 | 453 | $0.00 | |
| 1125F | 340 | 316 | $0.00 | |
| 3008F | 1,018 | 915 | $0.00 | |
| 3075F | 44 | 44 | $0.00 | |
| 1170F | 991 | 893 | $0.00 | |
| 1157F | 688 | 623 | $0.00 | |
| 1000F | 501 | 456 | $0.00 | |
| 1126F | 363 | 341 | $0.00 | |
| 3079F | 107 | 102 | $0.00 | |
| 3080F | 24 | 22 | $0.00 | |
| 3044F | 12 | 12 | $0.00 | |
| 1159F | 884 | 794 | $0.00 | |
| 3078F | 656 | 588 | $0.00 | |
| 1160F | 873 | 784 | $0.00 | |
| 0521F | 288 | 269 | $0.00 | |
| 3077F | 47 | 46 | $0.00 | |
| 1158F | 227 | 205 | $0.00 | |
| 3050F | 13 | 13 | $0.00 |